Individual
GARY L DILLEHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, NUCLEAR MEDICINE, GALTER 8-110, CHICAGO, IL 60611-2908
(312) 926-5119
(708) 216-9033
Mailing address
251 E HURON ST, NUCLEAR MEDICINE, GALTER 8-110, CHICAGO, IL 60611-2908
(312) 926-5119
(708) 216-9033
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
36061030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36061030
—
IL
Enumeration date
12/29/2005
Last updated
04/04/2012
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